Ureterovesical Junction (UVJ) Obstruction....A brief description....

The ureterovesical junction is located where the ureter (the tube that drains urine from the kidney) meets the bladder. Ureterovesical junction (UVJ) obstruction refers to a blockage to this area. The obstruction impedes the flow of urine down to the bladder, causing the urine to back up into and dilate the ureters and kidney (megaureter and hydronephrosis).

Unilateral UVJ obstruction is the second most common prenatally detected obstructive disease, often picked up on maternal ultrasounds during pregnancy. Each year, we treat nearly 100 children who have a UVJ obstruction...

Due to the increased use of prenatal imaging, UVJ obstruction may be identified before any symptoms are present. If any dilation is identified in the kidneys or ureters, the baby will be monitored throughout the pregnancy and after birth. Once the baby is born, further imaging studies may confirm the obstruction. Older children typically have back or flank pain and kidney stones. The pain may be associated with nausea and vomiting. Other symptoms might include bloody urine, a urinary tract infection (often with a fever), or might even be a vague abdominal pain...

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Your child may undergo a variety of tests to help confirm his diagnosis and evaluate the extent of his condition.

Renal bladder ultrasound (RBUS): This procedure uses sound waves to outline the kidneys and bladder. It will enable us to see the degree of hydronephrosis (dilation of the kidney).

MAG III renal scan: This study helps us determine how each kidney is functioning and the degree of blockage. An intravenous line (IV) is used to inject a special solution called an isotope into your child's veins. The isotope makes it possible to see the kidneys clearly. Pictures of the kidneys will be taken with a large machine that rotates around your child. Your child will need an IV and a catheter for this study.

MRI/MRU: MRI is a radiation-free diagnostic procedure that uses a combination of a large magnet, radiofrequencies and a computer to produce detailed images of the body. Magnetic resonance urography (MRU) creates detailed pictures of the kidneys, ureters and bladder. Your child will need an IV and a catheter for this study. Your child may need sedation if she is young and might have difficulty tolerating the length of the study, which is typically 40 minutes..

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Each year, approximately 50 ureteral reimplantations are done at CHOP. Our overall goal in treating a UVJ obstruction is to preserve renal function. In situations where the kidney function is compromised, surgery is needed. In some children, an ultrasound may show a significant amount of dilation (megaureter and hydronephrosis) but the kidney functions and drains well. In this situation, we will closely follow your child with repeated imaging studies.

Cutaneous distal ureterostomy

In a newborn with massive ureteral dilation or poor renal function, a cutaneous distal ureterostomy may be recommended. The ureter is surgically brought to the surface of the skin to allow it to drain urine freely into the diaper. This allows the affected kidney and ureter to decompress. Around 18 months of age, the ureter is then reimplanted into the bladder.

In select cases, the obstruction can be managed completely endoscopically (without any skin incisions). Your child's surgery will be done under general anesthesia. While your child is asleep, the surgeon will use a laser to open up the obstruction. He will then use a small balloon to expand the narrow area and leave a temporary small tube, called a stent, to allow the urine to drain.

Ureteral reimplantation

The surgical procedure to correct UVJ obstruction is called a ureteral reimplantation. This surgical procedure involves removing the section of the ureter that is abnormal, reducing it and reconnecting the ureter.

In young babies, the reimplantation is done through a small incision. Minimally invasive surgery (MIS) is an option for children older than 6 months. The reimplantation can be done either laparoscopically or through a robotic assisted laparoscopic approach. The minimally invasive approach is accomplished through three small incisions, the size of a grain of rice. The advantages are smaller, less visible incisions and a quicker recovery period. The minimally invasive technique is not appropriate for all children. Your healthcare provider will work with you and your family to determine what kind of intervention is best..

Shri Radhe radhe..

High office: On the Opposition and presidential polls. ..New era has been initiated to establish...

The Opposition did not use the presidential election to counter the BJP’s narrative 

The BJP has stolen a march over the Opposition by naming Droupadi Murmu as its candidate for President. With the support of BJP allies and regional parties such as Odisha’s BJD and Andhra Pradesh’s YSRCP, she is poised to win and become the first from a tribal community to occupy the highest office of the Republic. The significance of her elevation is particularly pronounced in the 75th year of India’s independence. A tribal woman succeeding a Dalit in the highest office of the country is a remarkable testimony to the deepening of Indian democracy, notwithstanding the disturbing signs of the mobilisation of subaltern communities for majoritarian politics. Ms. Murmu will be the second woman to hold the highest office, after Pratibha Patil, and at 64, she will be the youngest President in the country’s history. From Mayurbhanj in Odisha, part of the region that houses a vast majority of India’s aboriginal population, Ms. Murmu was a teacher, and joined the BJP in 1997. She was a Minister in Odisha and the Governor of Jharkhand between 2015 and 2021. Her nomination by the BJP for the highest office of the country signifies the party’s sustained efforts to incorporate tribal communities politically and culturally. Prime Minister Narendra Modi’s personal signature on the decision is unmistakable and is in line with his relentless efforts to expand the BJP’s social base wide and far.

Shri shyam 

Shri Radhe radhe.

With numbers tilted in the BJP’s favour, the Opposition could have only used the contest for the highest office as an opportunity for political messaging. The joint candidate of the Opposition parties, Yashwant Sinha — a former BJP leader and Union Minister in the Janata Dal and BJP governments — hardly serves that purpose. For all his track record, Mr. Sinha hardly represents anything political. That he turned into a strong critic of Mr. Modi after being ignored for positions, if anything, weakens any claim of his candidacy being an ideological counter to the BJP. The lack of imagination, initiative and capacity for any radical politics in the Opposition comes across starkly in the selection of the candidate. While Mr. Modi uses every election as an opportunity to respond to group aspirations of various communities, the Opposition remains adrift and ensconced in cocoons. That Mr. Sinha comes from a tribal State, Jharkhand, makes the optics of this contest even more damaging for the Opposition. The Opposition is right to point out that the BJP did not make any serious effort to field a consensus candidate. But excusing its own limitations by blaming the BJP is self-defeating. This turned out to be yet another missed opportunity for the Opposition to construct a counter narrative to the BJP, which is inclusive in its messaging in instances such as this, while not giving up its pursuit of an exclusivist politics..

Two is one too many: On AIADMK leadership tussle. shree Krishna

UPDATED: JUNE 25, 2022 00:58 IST

Madras High Court relief may not prevent marginalisation of O. Panneerselvam in AIADMK

A pre-dawn court order may have granted temporary relief to AIADMK coordinator O. Panneerselvam from being stripped of his part in the party’s joint leadership, but it is doubtful if his isolation can be prevented for long. It may only be a matter of time before the 50-year-old party comes under the full control of co-cordinator and Mr. Panneerselvam’s partner-turned-rival Edappadi K. Palaniswami. What has divided them now is possibly that Mr. Palaniswami seems to have greater support among legislators and district secretaries, and his camp has begun to feel that Mr. Panneerselvam is enjoying disproportionate clout in the party’s affairs. At a General Council (GC) meeting on Thursday, it was expected that the party’s by-laws would be changed to abolish the current ‘dual leadership’ (coordinators), and restore the post of general secretary as the sole seat of power. An attempt to obtain a restraining order against the meeting failed before a single judge, but the Panneerselvam camp managed to get the Chief Justice’s permission to move a midnight appeal before a Bench. Passing orders at around 4.30 a.m., the Bench restrained the GC from making any decision other than upon the 23 items on the agenda that had the approval of both coordinators. That they had agreed on a set of resolutions was used to make a prima facie case for an interim order against any other decision being made, scuttling plans for an impromptu discussion or decision on the leadership question.

Shri Radhe Shri Radhe.

A.........

question arises over the need for the eleventh-hour judicial intervention. Any likely prejudice could always have been subsequently remedied if it truly went against the party majority view. It is doubtful whether a leader can seek a restraint on a majority-backed decision by which he would be possibly aggrieved. Even though a dual leadership system is in place, it is difficult to contend that nothing that lacks the approval of both leaders can be decided by the party’s apex decision-making body. After all, it was this body that abolished the general secretary’s post in 2017 and created the posts of two coordinators. It had also changed the ‘unamendable’ rule that the general secretary should be elected by all the primary members. In 2021, the party’s executive committee again amended the by-laws to the effect that the primary members would now elect the two coordinators jointly by a single vote. Mr. Panneerselvam and Mr. Palaniswami were jointly elected in a subsequent election. One of the resolutions ultimately not taken up at the GC meeting was to ratify this decision. The effect of non-ratification on the party’s affairs remains to be seen, but it is clear that Mr. Panneerselvam’s options are limited to either playing a subordinate role or striking it out on his own.

Jai radha madhav 

Jai kunj bihari..

Brick by brick: On the 14th BRICS Summit Shri Radhe

The 14th BRICS Summit, which concluded on June 24, revealed much about the grouping of five emerging nations. That this bloc of five disparate countries has not only made it to its 14th summit, but has been able to demonstrate some concrete, albeit modest, outcomes of cooperation, such as the emergence of the New Development Bank (NDB), suggests there remains a strong convergence of interests amid undeniable differences. Indeed, ever since the first summit in Yekaterinburg in 2009, BRICS has had more than its fair share of naysayers, particularly in the West, and has been derided as a talk shop. In his address to the summit on June 23, which was hosted by China this year and held virtually, Prime Minister Narendra Modi described the binding glue as “a similar approach to global governance”. That approach, according to the lengthy joint Beijing Declaration that followed, was premised on “making instruments of global governance more inclusive, representative and participatory”.

Sri Krishna

Hare Krishna

.......

That is certainly a laudable goal. However, the NDB, which has since its launch in 2015 funded around $30 billion worth of projects in emerging nations, still remains for the grouping an isolated example of their common interests translating into tangible outcomes. That points to another summit take-away: despite a tall agenda, the bloc remains constrained by differences. For instance, on two key issues for the grouping — UN reforms and terrorism — members India and China have found themselves on opposing sides of the debate. India and Brazil have made common cause on pushing for an expanded UN Security Council, yet China has suggested it is not in favour of a permanent seat for India. On terrorism, the recent blocking by China of an attempt by India to sanction the LeT terrorist, Abdul Rehman Makki, at the UNSC sanctions committee, served as a reminder of contrasting approaches. Indeed, those two different approaches found mention in the Beijing Declaration, which acknowledged both India’s concerns on a lack of transparency at the sanctions committee and Chinese claims, seemingly driven by the desire to shield Pakistan, that these cases amounted to “politicisation”. On Ukraine, the bloc affirmed a commitment to respect sovereignty, despite Russia’s actions, and stopped short of condemning NATO, as Russia and China have done, reflecting different views within BRICS. These differences certainly cast doubt on the bloc’s loftier goals of reorienting the global order. They do not, however, suggest that the BRICS countries cannot cooperate on issues where interests align, whether in financing projects, as the NDB has done, working on climate change, as India and China have continued to do despite the LAC crisis, or even on space cooperation, where the five countries have agreed to create a joint constellation of remote sensing satellites..

The assembled knowledge is always happens by dedication....

Tha assemble of knowledge is always happens by dedication.

It happens sometimes that the mind will be diverted by the another pupils and their actions.

Some time the reading news knowledge fulfil the mind with proudness and provide others to a very sad story.

The c

The thought of learning from the Nature

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The the onother name of the future is struggling...

It may me turn toall the human being to be forwarded all conditions and situation in every mementum.

The mind of human is  the biggest culprits of sussess and processesion.

The situation can devia

Govt okay 8. 1 interest on the fixed on EPF account and sub ordinates

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The Centre on Friday approved the reduction of rate of interest on the employees' provident fund (EPF) deposits for 2021-22 – from 8.5 per cent to 8.1 per cent – for almost five crore subscribers of the Employees' Provident Fund Organisation (EPFO). The decision, taken by the EPFO in March this year, brings the rate of interest on PF deposits to a more than four-decade low.

According to an official order of the retirement fund body, the Ministry of Labour and Employment conveyed the approval of the central government to credit 8.1 per cent rate of interest, instead of 8.5 per cent provided in 2020-21. The Union labour ministry had sent the proposal to the ministry of finance.

Now, after the ratification of the interest rate by the government, the EPFO would start crediting the fixed rate of interest for the fiscal into the EPF accounts.

In March 2020, the EPFO had lowered the interest rate on provident fund deposits to a seven-year low of 8.5 per cent for 2019-20, from 8.65 per cent in 2018-19. The same rate of interest was provided to its subscribers in 2016-17, while it was 8.55 per cent in 2017-18...